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Introduction: Chest pain in children and adolescents is a common symptom in the pediatric emergency clinic. Between December 2007 and February 2017, there were 352 children who developed chest pain to the pediatric emergency department between December 2007 and February 2017. Materials and methods: Between December 2007 and February 2017, there were 352 children who presented with chest pain to the pediatric emergency department. Conclusion: Only six patients who were admitted to the emergency department with chest pains required cardiovascular surgery were heart disease. The chest pain in children necessitated less surgery, and mortality and morbidity were lower than those in adults with normal cardiac chest pain.
Source link: https://doi.org/10.1532/hsf.4341
Background Acute myocardial infarctions are becoming more prevalent among young adults. We looked at sex and racial differences in the assessment of chest pain among young adults presenting to the emergency department. Methods and Results In the National Hospital Ambulatory Medical Care Survey, from 2014 to 2018, emergency department visits were recorded for adults aged 18 to 55 years with CP, which uses stratified sampling to produce national estimates. Before and after multivariable change, we investigated the relationships between sex, race, and CP management. After multivariable change, people of color waited longer for physician evaluation than White adults, but there were no racial differences in hospital admission, triage level, electrocardiography, or cardiac biomarker testing, but there were no such racial disparities in hospital admission, triage level, electrocardiography, or cardiac biomarker assessments. In 1. 4% of adults in the emergency department and 6. 5% of admitted adults, acute myocardial infarction was diagnosed in 1. 5 percent of adults and 6. 5% of admitted adults. Conclusions Women and people of color with CP waited longer to be seen by physicians, independent of clinical findings.
Source link: https://doi.org/10.1161/jaha.121.024199
Most cardiac specialists use echocardiography to determine the etiology and screening for children's heart disease. We reviewed the etiology and echocardiography findings of children with chest pain in pediatric cardiology clinics, outlined the disease spectrum, and determined the diagnostic value of echocardiography in screening cardiac chest pain in children. Methods and Results The medical records of children with chest pain aged younger than 18 years who attended Beijing Anzhen Hospital between 2005 and 2019 were reviewed. Chest pain in children with chest pain who are admitted to pediatric cardiology clinics is mainly harmless and rarely related to cardiac disorders. The use of echocardiography in assessing cardiac chest pain in children is of no diagnostic value, and it results in unnecessary hospitalization and the health care system.
Source link: https://doi.org/10.3389/fped.2022.882022
Background The early diagnosis of acute myocardial infarction can ensure prompt and efficient treatment, but only 20% of adults with chest pain emergency admissions have an AMI. Objectives The objective is to determine the clinical efficacy and cost-effectiveness of hs-cTn assays for the early rule-out of AMI in adults with acute chest pains. The de novo model was based on a decision tree and a Markov model. [negative likelihood ratio 0. 10, 95% confidence interval 0. 05 to 0. 18]: The optimum plan, based on the Roche assay, used a maximum of blank rate in a presentation sample to rule out AMI [negative likelihood ratio 0. 10, 95% confidence interval 0. 05 to 0. 18]. Patients testing positive in an AMI [positive likelihood ratio 8. 42, 95% CI 6. 11 to 11. 60], could have a second test at 2 hours; a score below the 99th centile on both samples and a 20 percent determination can be used to rule out an AMI. Patients who are positive may undergo a new test at 3 hours; a result above the 99th centile on this sample may have the possibility of finding an AMI, but a result below the 99th centile can be used to rule out an AMI. Conclusions There are some studies that show that hs-CTn testing may be a safe and cost-effective way to early rule-out of AMI. Funding for the National Institute for Health Research Health Technology Assessment (NIH) The National Institute for Health Research Health Technology Assessment program is funded by the National Institute for Health Research Health and Human Services.
Source link: https://doi.org/10.3310/hta19440
Patients with chest pain and heart failure of a specific etiology, including an association with cardiovascular syphilis, may have patients with chest pain and heart failure in cardiological practice. This essay explores a 49-year patient with chest pain, heart arrest, and neurological signs associated with ongoing tertiary syphilis. Tertiary syphilis is a rare yet important problem for many medical professionals, including cardiologists, who specialize in cardiology.
Source link: https://doi.org/10.18087/cardio.2022.4.n1516
For the diagnosis of heart murmur or chest pain, the pediatric cardiologist was referred to the pediatric cardiologist to determine the usefulness of electrocardiogram and chest radiography in patient evaluation. In patients with no heart disease, the diagnosis was changed to definitive heart disease in four patients solely as a result of abnormal CXR or ECG. After reviewing of the CXR and ECG findings, the diagnosis of 25 patients suspected of potential heart disease was changed to no heart disease or definite heart disease. In four patients with no heart disease, ECG and CXR helped to rule out lesions in seven patients with possible heart disease, helped diagnose heart disease in five patients with suspected heart disease, and helped diagnose heart disease in nine patients with suspected heart disease.
Source link: https://doi.org/10.1542/peds.99.1.1
Background: Ethnic and racial inequalities play a role in significant morbidity, mortality, and healthcare expenditures in cardiovascular disease. Rapid diagnosis of patients with chest pain is recommended to aid in further intervention and determination as one of the primary reasons for emergency department presentation. Our aim was to determine future target areas for intervention to improve healthcare delivery by analyzing the characteristics and disposition of Hispanic patients presenting to the ED with chest pain. Patients who came to the emergency department with a chief complaint of "chest pain" were identified, and medical records were reviewed. The association of Hispanic ethnicity and ED disposition was established by bivariate studies to determine the connection between Hispanic ethnicity and ED disposition. Conclusions: There were only 4. 8 percent of Hispanic patients with chest pain, out of 58 percent. Hispanic females were 1. 58 more likely to experience chest pains than Hispanic females were 1. 58 more likely to suffer with chest pains. Using Our Report: According to our findings, Hispanics with chest pain could face delays in triage and disposition from the ED.
Source link: https://doi.org/10.1161/circoutcomes.15.suppl_1.225
Many things influence Length of stay in the hospital for patients with chest pains. Admission to a cardiology center may lead to a shorter LOS in patients with acute coronary syndrome, but admission to a non-specialty program has been shown to have potentially worse outcomes. We investigate whether specialist care reduces LOS in patients with chest pain in this review. A retrospective review of 389 patients admitted to Stony Brook Southampton Hospital in 2020 and 2021 with chest pain and underwent ACS inspection was conducted. These findings show that chest pain patients who are admitted to the cardiology center are less likely to die. Patients who experience chest pain may have a more effective LOS, and may be further investigated and considered in the future.
Source link: https://doi.org/10.1161/circoutcomes.15.suppl_1.243
When drawn 6 to 12 hours after the beginning of chest pains in acute coronary syndrome, Troponins have close to 100% sensitivity. Length of hospital stays is a measure of effective hospital administration. To shorten LOS, we recommend using Q3H troponins over 3- and 6-hour intervals as opposed to Q6H in chest pain admissions to reduce LOS. Since troponin measurements at 3 and 6-hour intervals have similar effectiveness for ACS, we recommend considering Q3H troponins as opposed to Q6H in chest pain admissions to shorten LOS. A retrospective review of 389 patients who presented to Stony Brook Southampton Hospital in 2020 and 2021 with chest pain was performed. In patients with chest pain, extending the time between troponin collection can lessen LOS. Trending at Q3H intervals in Europe has resulted in the adoption of trending at shorter troponin intervals in ACS evaluation. Trending troponins Q3H is viable in a community hospital in the United States, and should be investigated and considered in the future, according to our report.
Source link: https://doi.org/10.1161/circoutcomes.15.suppl_1.241
Primary cardiac tumors are a rare condition, and myxomas, lipomas, and papillary fibroelastomas account for 8% of the tumors. While lying on her sides, the patient characterized the sensation as a constant pressure and squeezing sensation in her chest and worsening shortness of breath, only when a pillow was propped up under her chest. The patient continued to complain about chest pain, but a follow-up MRI revealed a 5 cm anterior mediastinal mass, thought to be a thymic cyst. The patient continued to endorse worsening chest pain and exhaustional shortness of breath over the next few months. The patient underwent surgery to resect the anterior mediastinal mass thought to be a thymic cyst and the pulmonary artery mass, which was determined to be a pulmonary valve papillary fibroelastoma in the histopathology exam.
Source link: https://doi.org/10.1161/atvb.41.suppl_1.p172
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